Selecting volume of reconstruction of anterior eye segment using ultrasound biomicroscopy during keratoprosthetics in patients with vascular leukoma of the degrees 4-5

Moroz et al investigate capabilities of Ultrasound Biomicroscopy (UBM) for selecting volume of reconstruction of anterior eye segment during keratoprosthetics in patients with vascular leukoma of the degrees 4-5. They examined fifty-four patients with vascularized burn leukoma of the degrees 4-5. All patients underwent different functional, electrophysiological and ultrasound diagnostic procedures including the UBM before and after surgery, especially in case of complications. The UBM was performed in a standard manner using the UBM-840 system. Results revealed UBM capabilities to assess topography characteristics of anterior eye segment in patients with the 4th-5th degree leukomas. These characteristics included scarring flattening of cornea, non-uniform increase of thickness of leukoma, and presence of pronounced peripheral iridocorneal adhesions with reduced central depth of anterior chamber. The UBM allows to foresee a postoperative course for patients with vascularized burn leukoma of the 4th-5th degrees and to perform a dynamic monitoring of patient data after surgery.